Treatment FAQ

hot and cold treatment which one first

by Salvador Osinski Sr. Published 3 years ago Updated 2 years ago
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If you have swelling, use cold therapy first, then use heat. If you suffer from diabetes or poor circulation, do not use heat therapy. If you have stitches or an open wound, do not use heat therapy. If you are lying down, do not lie on a heating pad; if you fall asleep, it could cause a burn.

Use cold therapy for the first 24 to 48 hours after an injury, and then switch to heat therapy to stimulate blood flow and healing.

Full Answer

How do you do hot and cold therapy?

How to Do Hot and Cold Therapy. There are several different methods for delivering hot and cold therapies to the body. Broadly speaking, this can be done through local applications, or through total body immersion. Apply cold therapy directly to the affected area to reduce swelling and relieve pain.

How often should you use hot and cold therapy?

Hot and cold therapy should be carried out one to two times per day until the injury has healed. If you’re not seeing improvements within two to three days, consult your doctor, as stronger treatments may be necessary. Tips for Alternating Hot and Cold Therapy

Can I switch between hot and cold therapies?

Many people find it beneficial to alternate between heat and cold therapy. You can switch between hot and cold therapies throughout the day. Usually, it’s best to wait at around 20 minutes between sessions, though you can also alternate between hot and cold water in the shower.

How long does it take for hot and cold therapy to work?

Hot and cold therapy should be carried out one to two times per day until the injury has healed. If you’re not seeing improvements within two to three days, consult your doctor, as stronger treatments may be necessary.

What is contrast therapy?

How long does it take for contrast therapy to work?

Why is ice good for injury?

Does contrast therapy help with pain?

Is cold or hot therapy good for recovery?

Do you need a clock for contrast therapy?

Can contrast therapy be used with medication?

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Should I do hot then cold or cold then hot?

Ice & Heat Together To achieve therapeutic results, you must do this in a very specific way. The key is to ice for 20 minutes, causing the vessels to narrow, and then heat for 15 minutes, causing the vessels to dilate. This acts as a pumping mechanism to the inflammation, pushing it away from the injured area.

Should I alternate ice and heat?

Ice may continue to be useful in treatment as long as there is pain, swelling, inflammation, or spasm. There is no need to switch to heat after 48 hours or alternate between ice and heat.

When do you apply heat or ice?

“Ice is a great choice for the first 72 hours after an injury because it helps reduce swelling, which causes pain. Heat, on the other hand, helps soothe stiff joints and relax muscles.

Can I use heat and ice at the same time?

Heat therapy will usually ease the muscle stiffness after the inflammation resolves. But heat and ice can be used together in an alternating pattern to create a “pumping” action in the circulatory system by restricting circulation to reduce swelling and then increasing circulation to a particular area.

Does heat make inflammation worse?

Heat can make inflammation significantly worse. Ice can aggravate symptoms of tightness and stiffness; it can also just make any pain worse when it's unwanted. Both ice and heat are pointless or worse when unwanted: icing when you're already shivering, or heating when you're already sweating.

What are the three important rules of using heat and cold therapy?

Keep heat applications under 20 minutes unless otherwise directed. Do not apply heat if there is swelling around the injury. Cold therapy should be applied first. Patients with poor circulation or diabetes should avoid hot therapy.

How do you use hot and cold therapy?

For short-term pain relief of any of these conditions, apply a hot or cold compress using any of these items:An electric heating pad.A gel pack that can be microwaved or frozen.A bag of ice or frozen vegetables.A washcloth or small towel soaked in hot or cold water (wring it out, fold it, and apply to the sore area)

Does ice make infection worse?

To sum things up, inflammation is a normal thing and we need it to heal an injury. However, ice does not reduce inflammation, it actually makes it worse by creating a back flow of fluid in the lymphatic system. The only thing that ice is useful for is numbing a painful area, or keeping a drink cold.

When do you use heat therapy?

As a general rule of thumb, use ice for acute injuries or pain, that may also involve inflammation or swelling. Use heat for muscle pain or stiffness. Sometimes a single treatment will even include both.

How do you alternate ice and heat for back pain?

Use cold first and then apply heat for acute back pain. Lowering the body temperature will help constrict the blood vessels, reduce swelling, decrease inflammation, and cause a numbing effect. Once the inflammation has subsided, use heat therapy.

Using heat and cold for pain | Mayo Clinic Connect

Helpful info.,thanks… I have 2 different sizes of those gel filled packs and there is space under meat drawer in my fridge so i store them there each one in a plastic bag… its surprising how cold they get…. and I also sew/make those rice-filled bags you can heat up in microwave if anyone wants to know how to make them – use sewing machine, 100 per cent cotton fabric and thread.

How to Properly Apply Ice and Heat for Lower Back Pain

No matter what kind of injury you’ve sustained, adding ice and heat is an important part in beginning the process to alleviate your pain. Ice and heat help the injured areas to relax and promote proper blood flow through the veins.

How to treat a cold injury?

For cold therapy, or cryotherapy, a water bottle filled with cold water, a pad cooled in the freezer, or cool water can be used. In some cases, alternating heat and cold may help, as it will greatly increase blood flow to the injury site.

How long does cold therapy last?

Some ways of using cold therapy include: a cold compress or a chemical cold pack applied to the inflamed area for 20 minutes, every 4 to 6 hours, for 3 days. Cold compresses are available for purchase online. immersion or soaking in cold, but not freezing, water.

Why is ice used for back pain?

It may be less helpful for back pain, possibly because the injury is not new, or because the problem tissue, if it is inflamed, lies deep beneath other tissues and far from the cold press.

Why is my skin hot and red?

the skin is hot, red or inflamed. the person has dermatitis or an open wound. the area is numb. the person may be insensitive to heat due to peripheral neuropathy or a similar condition. Ask a doctor first about using heat or cold on a person who has high blood pressure or heart disease.

How to avoid ice burn?

immersion or soaking in cold, but not freezing, water. massaging the area with an ice cube or an ice pack in a circular motion from two to five times a day, for a maximum of 5 minutes, to avoid an ice burn. In the case of an ice massage, ice can be applied directly to the skin, because it does not stay in one place.

Does heat help with lactic acid?

Improved circulation can help eliminate the buildup of lactic acid waste occurs after some types of exercise. Heat is also psychologically reassuring, which can enhance its analgesic properties. Heat therapy is usually more effective than cold at treating chronic muscle pain or sore joints caused by arthritis.

Does cold medicine help with swelling?

Cold treatment reduces blood flow to an injured area. This slows the rate of inflammation and reduces the risk of swelling and tissue damage. It also numbs sore tissues, acting as a local anesthetic, and slows down the pain messages being transmitted to the brain.

How does cold and hot therapy work?

The process of hot and cold therapy should always start as soon after the injury is sustained as possible in order to get to work on the knocks, aches, pain and stiffness. Cryotherapy (to use the official title for ice or cold therapy), works by reducing the blood flow to the affected area of the body to significantly reduce any inflammation ...

What is heat therapy?

Heat treatments are used mostly when it comes to musculoskeletal injuries, such as pulled muscles and any pain in the joints. There are a number of different ways to use heat therapy ranging from quick-fixes like Deep Heat spray to more long-term treatments such as heat packs that can be applied to areas such as the lower back to provide therapeutic heat throughout the day to restore movement.

How many rounds of ice pack for a swollen ear?

After three rounds of the treatment you should return your ice pack to the freezer and allow your heat treatment to cool. You can then repeat the three-round cycle throughout the day in order to maximise its impact and to reduce the pain and swelling as quickly as possible.

How long does an ice pack stay cold?

This starts a chemical reaction that instantly makes the pack cold. The Instant Ice Pack stays cold for 15 to 20 minutes, making it ideal for the early treatment of sports injuries.

What is ice treatment?

This form of treatment is typically used on impact injuries such as blows to the head or knocks to the fingers. Ice treatments can range from coolant sprays such as Deep Freeze to ice packs and even ice baths in some cases.

What are the benefits of hot and cold?

To summarise, the main benefits of hot and cold treatment include: Fast and effective relief from pain. Reduction of swelling or stiffness in the joints. Speeds up the healing process.

Can you use a gel pack as a heat pack?

To use a gel pack, simply cool in the refrigerator or freezer is intending to use as a cold pack, or warm in hot water (or microwave) to use it as a heat pack.

What happens to the blood vessels during hot and cold therapy?

During the hot therapy treatment, the blood vessels expand, increasing circulation and the flow of oxygen and nutrients to the injury.

Why do we use heat therapy?

Heat Therapy. Sore, stiff muscles are best treated with hot therapy because the heat helps to ease and relax tired muscles. Heat can also be used before exercise to improve mobility and increase joint elasticity by essentially starting the warming up process before the exercise begins.

How to reduce swelling and inflammation?

Here are some simple rules to follow; • Use Cold Therapy immediately after an injury to reduce swelling and inflammation. • Do not use Cold Therapy on stiff muscles or joints. • Use Hot Therapy to relax or sooth sore muscles and to increase range of motion.

Why do athletes use cold packs?

Cold packs are also recommended for treating overuse injuries, common in athletes. Apply a cold pack after activity to help limit any inflammation that happens as a result of the activity. Ice packs should not be used before exercise.

Does cold therapy reduce swelling?

Cold therapy constricts blood vessels and reduces blood flow when applied. This reduced blood flow limits the amount of fluid around the injury, which in turn minimises swelling. Cold therapy can also have a numbing effect, which can help to decrease the pain.

How does cold therapy help with swelling?

Cold slows down blood flow to an injury, thereby reducing pain and swelling. Cold therapy slows circulation, reducing inflammation, muscle spasm, and pain. It should be used if the area is swollen or bruised.

How long should you use cold packs after a sprain?

Any cold treatment should be used for 24 to 48 hours after an injury. Cold therapy is good for sprains, strains, bumps, and bruises that may occur in sports or lifting. Apply cold packs or ice bags to injured areas for no more than 20 minutes at a time, removing the cold for 10 minutes and reapplying it again.

What does heat do to your body?

What does heat therapy do? Heat opens up blood vessels, which increases blood flow and supplies oxygen and nutrients to reduce pain in joints and relax sore muscles, ligaments, and tendons. The warmth also decreases muscle spasms and can increase range of motion.

Does ice help with swelling?

Ice will decrease the blood flow to the injury, thereby decreasing inflammation and swelling. Pain that recurs can be treated with heat, which will bring blood to the area and promote healing. The following information can help you learn when and how to use temperature-related therapies.

Is moist heat better than hot water?

Moist heat may penetrate better. Heat can be applied by an electric or microwavable heating pad, hot water bottle, gel packs, or hot water baths. The heat should be warm, not too hot, and should be maintained at a consistent temperature, if possible.

What is heat therapy?

Hot Therapy. Heat therapy is primarily used for taking the edge off of several different kinds of body pain. Those dull, persistent pains that you get with stiffness and cramping, for example. Pain such as soreness from jumping straight back in to exercise and going a little too hard, we’ve all been there.

How does heat therapy work?

Heat therapy works by relieving pain, reducing muscle spasm and improving circulation to the injured area. Heat therapy is able to carry the heat in to the tissue to the depth of around two centimetres with a heat rise of a degree Celsius or two, depending on the method and which body part it’s applied too.

Can you use cold therapy for sensory issues?

People with sensory issues that stop them from feeling certain sensation should not use cold therapy in the home setting as they may not be able to tell if damage is being done. This includes diabetes, which can cause nerve damage and lessened sensitivity.

Is heat a neurological effect?

It’s worth mentioning that there are also the potential neurological effects of heat. The feeling of heat in itself can be reassuring, and reassurance can be analgesic, meaning it can relieve pain. To check out our range of heat packs and rubs, click here.

Can you use cold or hot therapy on a stiff muscle?

Do not use cold therapy on stiff or tight muscles and joints. Heat Therapy is used to relax and sooth sore muscles and to increase range of motion. Do not use Hot Therapy on an injury that is already warm to the touch.

How does cold therapy work?

It works by reducing blood flow to a particular area, which can significantly reduce inflammation and swelling that causes pain, especially around a joint or a tendon. It can temporarily reduce nerve activity, which can also relieve pain.

How long does heat therapy last?

Moderate to severe pain can benefit from longer sessions of heat therapy like warm bath, lasting between 30 minutes and two hours.

What are the different types of heat therapy?

Types. There are two different types of heat therapy: dry heat and moist heat. Both types of heat therapy should aim for “warm” as the ideal temperature instead of “hot.”. Dry heat (or “conducted heat therapy”) includes sources like heating pads, dry heating packs, and even saunas. This heat is easy to apply.

How long should you heat a wound?

Heat applied directly to a local area, like with heating packs, should not be used for more than 20 minutes at a time.

What is the best treatment for stiffness?

Regional treatment is best for more widespread pain or stiffness, and could be achieved with a steamed towel, large heating pad, or heat wraps. Full body treatment would include options like saunas or a hot bath.

What is the best treatment for a swollen muscle?

Sometimes a single treatment will even include both. As a general rule of thumb, use ice for acute injuries or pain, along with inflammation and swelling. Use heat for muscle pain or stiffness.

What is the best cold therapy for sprains?

ice massage. ice baths. Other types of cold therapy that are sometimes used include: cryostretching, which uses cold to reduce muscle spasms during stretching. cryokinetics, which combines cold treatment and active exercise and can useful for ligament sprains.

What is hot and cold therapy?

Hot and cold therapy is the most common type of non-addictive and non-invasive pain relief therapies for injuries. Learn when and how to use this therapy. Has a weekend of skiing left you sore and stiff?

When to use heat therapy?

Use heat therapy for injuries that are a day or more old, such as muscle spasms, arthritis, chronic muscle pain and chronic joint pain or stiffness.

How does heat therapy help with pain?

This will increase blood flow and supply oxygen and nutrients to the area while reducing pain in joints, relaxing sore muscles, ligaments and tendons. Hot therapy also decreases muscle spasms, increases range of motion, improves flexibility of tendons and ligaments and alleviates pain.

How long to put ice pack in freezer?

Application of cold therapy has many options. You can use an ice pack, an ice massage, a damp towel placed in a plastic bag and put in the freezer for 15 minutes, a cold gel pack or even frozen vegetables. If using an ice pack, rub a small amount of oil over the area you are treating.

Why do we use cold packs?

The reason for using cold therapy for immediate treatment is to limit the body's response to injury. Cold therapy can: Reduce muscle pain and spasms.

Can you use heat therapy on a wound?

If you have swelling, use cold therapy first, then use heat. If you suffer from diabetes or poor circulation, do not use heat therapy. If you have stitches or an open wound, do not use heat therapy.

Can you use heat on a lower back strain?

If it is a new injury, other than a lower back strain, do not use hot therapy. If using, it will increase the bleeding around the area and could make the problem worse. Unless your medical professional recommends using systemic heat for prolonged time frames, you should avoid prolonged exposure.

Why do people use hot and cold compresses?

The application of hot and cold compresses can increase blood circulations that carry the oxygen. The hot and cold sensation relaxes the nerves that can trigger the pain signal to the brain. Hot and cold compresses are both very beneficial if they are used properly on the affected area.

Why do cold and hot compresses shock the body?

Hot and cold compresses can both shock the tissues and the blood vessels on the affected area due to sudden change of temperature. The affected part will be flooded by more white blood cells to fight the infection. But in this process, the circulation of the blood’s red cells in the affected area is blocked by the white blood cells.

How does hot compresses help with spasms?

The application of hot and cold compresses can increase blood circulations that carry the oxygen.

What is the best way to relieve pain?

Hot and Cold Compression Therapy . Hot and cold therapy is one of the best methods to relieve any kind of pains. Choosing between which therapy to use can be mind boggling to anyone who is searching for a quick relief for their pain.

What is the difference between ice and hot compress?

Hot compress is the application of heat to any part of the body to relieve certain kinds of pain. It can be applied in many kinds or forms such as hot water, hot towel heating pads, deep heating rubs, and ultrasound. All of these tools can help in applying hot compress to your affected part. On the other hand, ice is used for cold compress, it can ...

Can you use ice for cold compress?

All of these tools can help in applying hot compress to your affected part. On the other hand, ice is used for cold compress, it can also relieve pain. Cold compress can reduce both swelling and pain in the affected area of the body. In cases such as pulled muscles and strains cold compress is very useful.

Ice pack

Apply a bag of frozen food, a bag of ice, or an ice pack to the affected area. You can also freeze a wet towel or sponge before applying it to the affected area. Wrap a towel around your ice pack to protect your skin.

Ice massage

Use an ice cube to massage the affected area. You can make a large ice block by freezing water in a paper cup.

Ice bath

You can take a full or partial ice bath to reduce inflammation and muscle pain. Stay in an ice bath for a maximum of 15 minutes.

Cold bath or shower

For an option that’s less extreme than an ice bath, take a cold bath or shower. According to a 2017 study, cold mist showers may help to reduce pain in people with chronic inflammatory arthritis.

Hot shower

Hot showers may be beneficial to prepare for exercise or the day ahead. They may alleviate stiffness, improve mobility, and increase flexibility. Make sure the water isn’t too hot, especially if you have any cardiovascular concerns.

Warm compress

Apply a hot water bottle, electric heating pad, or homemade heating pad to the area of concern for up to 20 minutes at a time. For a full-body treatment, use an electric blanket.

Swim or exercise in warm water

Swimming and exercising in warm water allows you to build muscle strength, improve flexibility, and increase mobility while reducing compression to your joints. This may help to ease discomfort and alleviate stiffness.

What is contrast therapy?

Contrast therapy will relieve pain and swelling associated with a variety of injuries. It's most effective to treat pain in the hands and lower body. ( Image Reference) This versatile treatment can be used for a variety of conditions, including:

How long does it take for contrast therapy to work?

Pain relief sprays and gels, such as Icy Hot, work according to concept—they cool first to dull the pain and then heat to relax the muscles. Here is a basic pattern of how to apply contrast therapy: Begin with 1 minute of cold. Apply 3 minutes of heat. Apply 1 minute of cold. Apply 3 minutes of heat.

Why is ice good for injury?

It is effective because it causes vasoconstriction, or narrowing of the blood vessels. The muscles contract, inflammation is lowered, and pain signals are reduced.

Does contrast therapy help with pain?

Sometimes, choosing one over the other simply may not provide enough relief, which is where contrast therapy comes in. With this gentle method, you can simultaneously reduce inflammation, stimulate circulation, and loosen tight muscles, thereby easing your pain.

Is cold or hot therapy good for recovery?

Hot and cold therapy may be effective in aiding recovery by reducing levels of both lactic acid and muscle soreness. It may be particularly beneficial for those who have a second workout planned for later in the day, as it doesn’t shut the body down in the way pure ice therapy does.

Do you need a clock for contrast therapy?

Once you have decided on a method of contrast therapy, you should prepare your delivery methods of choice. You’ll also require a clock or stopwatch to time each application, although you don’t need to be too precise.

Can contrast therapy be used with medication?

Some people may be advised to combine this therapy with medication and exercises to bring about greater pain relief. If your doctor gives you the go-ahead, the main concern around contrast therapy is the risk of burning yourself. It’s important to only use hot and cold temperatures that you can tolerate.

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Cold Therapy – Explained

Heat Therapy – Explained

Alternating Hot & Cold – The Perfect Balance

  • After the first 3 to 5 days of applying cold therapy for an acute injury, its recommend that you alternate hot and cold therapy for effective pain relief and promotion of recovery. The expansion (from heat therapy) and contraction (from cold therapy) acts like a pump. During the hot therapy treatment, the blood vessels expand, increasing circulatio...
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